Active NPI
Claudia Neely
- Physician Assistant
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 004454-1
- Practice address
- 164 Carroll St
Brooklyn, NY 11231-3508 - Phone
- (917) 671-6587
- NPI assigned
- Mar 2, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 004454-1 | NY | Primary |
Addresses
Primary practice location
164 Carroll St
Brooklyn, NY 11231-3508
Mailing address
164 Carroll St
Brooklyn, NY 11231-3508
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, FL, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250109001215 | NY | Practitioner - Physician Assistant | 0446788186 | Reassigns benefits to 1 organization |
| I20250818002013 | FL | Practitioner - Physician Assistant | 0446788186 | Reassigns benefits to 1 organization |
| I20250822003040 | NJ | Practitioner - Physician Assistant | 0446788186 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Bluesleep PCJordan C. Stern M.D.P.C
Practice addresses (Care Compare)
111 Town Square PL
Suite 1203
Jersey City, NJ 07310-2784
Phone (212) 683-0174
245 5TH Ave
FL 3
New York, NY 10016-8728
Phone (212) 683-0174
2820 NE 214TH St
Suite 801
Aventura, FL 33180-1269
Phone (212) 683-0174
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004454-1 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jordan C. Stern M.D.P.C | Current | Accepting new patients | |
| Jordan C. Stern M.D.P.C | Current | Accepting new patients | |
| Long Island College Hospital | Physician Assistant | Past | Accepting new patients |
Locations
2820 NE 214th St
Ste 801
Miami, FL 33180
Phone (305) 204-9877
169 Madison Ave
Ste 15025
New York, NY 10016
65 Broadway
Ste 901
New York, NY 10006
Phone (212) 979-4200
245 5th Ave
Fl 3
New York, NY 10016
Phone (212) 302-4399
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330646400000",
"number": "1881968253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "164 CARROLL ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112313508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "164 CARROLL ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112313508",
"telephone_number": "917-671-6587"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEELY",
"first_name": "CLAUDIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-02",
"last_updated": "2012-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "004454-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.